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. 2019 Jun 13;17(1):101.
doi: 10.1186/s12957-019-1645-1.

Retrograde installation of percutaneous transhepatic negative-pressure biliary drainage stabilizes pancreaticojejunostomy after pancreaticoduodenectomy: a retrospective cohort study

Chang Min Lee  1 , Yong Joon Suh  2 , Sam-Youl Yoon  3
Affiliations

Retrograde installation of percutaneous transhepatic negative-pressure biliary drainage stabilizes pancreaticojejunostomy after pancreaticoduodenectomy: a retrospective cohort study

Chang Min Lee et al. World J Surg Oncol. .

Abstract

Background: Leakage from the pancreatoenteric anastomosis has been one of the major complications of pancreaticoduodenectomy (PD). The aim of this study was to investigate the feasibility of retrograde installation of percutaneous transhepatic negative-pressure biliary drainage (RPTNBD), as part of which the drainage tube is intraoperatively inserted into the bile duct and afferent loop by surgical guidance to reduce pancreaticoenteric leakage after PD.

Methods: We retrospectively reviewed the medical records of the patients who underwent pylorus-preserving PD or Whipple's operation for a malignant disease between June 2012 and August 2016. We performed intraoperative RPTNBD to decompress the biliopancreatic limb in all patients and compared their clinical outcomes with those of internal controls.

Results: Twenty-one patients were enrolled in this study. The operation time was 412.0 ± 92.8 min (range, 240-600 min). The duration of postoperative hospital stay was 39.4 ± 26.4 days (range, 13-105 days). Ten patients (47.6%) experienced morbidities of Clavien-Dindo grade > II, and 2 patients (9.5%) experienced pancreaticojejunostomy-related complications. The internal controls showed a higher incidence rate of pancreaticojejunostomy-related complications than the study participants (P = 0.020). Mortality occurred only in the internal controls.

Conclusion: For stabilizing the pancreaticoenteric anastomosis after PD for a malignant disease, RPTNBD is a feasible and effective procedure. When PD is combined with technically demanding procedures, including hepatectomy or vascular reconstruction, RPTNBD could prevent fulminant anastomotic failure.

Keywords: Drainage; Fistula; Leakage; Pancreaticoduodenectomy; Pancreaticojejunostomy.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
Surgical retrograde installation of percutaneous transhepatic negative-pressure biliary drainage. a The opening of the cut bile duct was identified for the insertion of a blunt-pointed probe. b The metal probe penetrated through the liver parenchyma. c A drainage tube was docked to the metal probe. d The drainage tube was retracted through the cut bile duct
Fig. 2
Fig. 2
Final scheme of retrograde installation of percutaneous transhepatic negative-pressure biliary drainage. CJ choledochojejunostomy, PJ pancreaticojejunostomy
See this image and copyright information in PMC

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